FELESIA OTIS

PORTLAND, OR
NPI1902208499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  06-07-64)
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
FELESIA OTIS CADC II
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-595-3477
Mailing Address
FELESIA OTIS CADC II
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-595-3477
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